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目的分析莆田市医疗机构与结防机构肺结核病人报告、转诊及追踪资料,探讨提高病人转诊及追踪到位方法。方法对莆田市2008—2014年肺结核病人网络报告、转诊及追踪相关资料及专业系统报表及结防督导考核、归口管理检查等资料进行分析。结果结防机构初诊病人转诊及追踪到位病例逐年增加,由2008年837例增加到2014年1 602例,提高了91.4%;因症就诊初诊病人涂阳检出率(28.6%)高于转诊及追踪初诊病人的涂阳检出率(26.9%)。7年间医疗机构平均转诊率达93.9%,转诊到位率逐年提高。结防机构追踪率逐年提高,平均追踪到位率达70.2%,总体到位率达73.6%。结论莆田市肺结核病人报告、转诊及追踪效果明显,肺结核病人转诊率及追踪率逐年提高,但转诊及追踪质量有待进一步规范和加强。
Objective To analyze the report, referral and follow-up data of tuberculosis patients in medical institutions and antisubmarine institutions in Putian City and explore ways to improve the referral and follow-up of patients. Methods The data of TB patients’ network reports, referral and follow-up reports, professional system statements, check-in prevention and inspection, centralized management and inspection of TB patients from 2008 to 2014 in Putian City were analyzed. Results The number of referral and follow-up cases of newly diagnosed patients with tuberculosis increased from 837 in 2008 to 1 602 cases in 2014, an increase of 91.4%. The detection rate of smear-positive patients (28.6% The number of smear-positive cases diagnosed and followed up was 26.9%. In seven years, the average referral rate of medical institutions reached 93.9%, and the referral rate increased year by year. The tracking rate of the prevention and treatment agencies increased year by year, with an average follow-up rate of 70.2% and an overall rate of 73.6%. Conclusion The report, referral and follow-up of tuberculosis patients in Putian are obvious. The referral rate and follow-up rate of tuberculosis patients are increasing year by year. However, the quality of referral and follow-up needs to be further regulated and strengthened.